INTRODUCTION: Gastric variceal bleeding due to splenic vein thrombosis is a life-threatening situation and is often difficult to manage by endoscopy. In the worst cases, an emergency splenectomy may be required to stop variceal bleeding. CASE PRESENTATION: We report the case of a 60-year-old Caucasian woman with bleeding gastric varices secondary to splenic vein thrombosis treated by splenic artery embolization. Successful embolization was performed by depositing coils into the splenic artery resulting in cessation of variceal bleeding. After embolization there was no recurrence of bleeding. CONCLUSION: Splenic artery embolization can be an effective and definite treatment for variceal bleeding secondary to splenic vein thrombosis.
INTRODUCTION:Gastric variceal bleeding due to splenic vein thrombosis is a life-threatening situation and is often difficult to manage by endoscopy. In the worst cases, an emergency splenectomy may be required to stop variceal bleeding. CASE PRESENTATION: We report the case of a 60-year-old Caucasian woman with bleeding gastric varices secondary to splenic vein thrombosis treated by splenic artery embolization. Successful embolization was performed by depositing coils into the splenic artery resulting in cessation of variceal bleeding. After embolization there was no recurrence of bleeding. CONCLUSION:Splenic artery embolization can be an effective and definite treatment for variceal bleeding secondary to splenic vein thrombosis.
Authors: Julia Liu; Bret T Petersen; William M Tierney; Ram Chuttani; James A Disario; Joseph M B Coffie; Daniel S Mishkin; Raj J Shah; Lehel Somogyi; Louis Michel Wong Kee Song Journal: Gastrointest Endosc Date: 2008-08 Impact factor: 9.427
Authors: T Kim; H Shijo; H Kokawa; H Tokumitsu; K Kubara; K Ota; N Akiyoshi; T Iida; M Yokoyama; M Okumura Journal: Hepatology Date: 1997-02 Impact factor: 17.425
Authors: Manon C W Spaander; Sarwa Darwish Murad; Henk R van Buuren; Bettina E Hansen; Ernst J Kuipers; Harry L A Janssen Journal: Gastrointest Endosc Date: 2008-01-18 Impact factor: 9.427